<div id="content-title">
    <h2>
        <span>REGISTER</span>
        into SAKE
    </h2>
    <p>Take advantage of all services.</p>
</div>

<form id="registration-form" action="confregistration.cgi" method="post" onsubmit='return checkRegistration()'>
    <fieldset>
        <legend>Credentials</legend>
        <p>
            <label for="email">Email (required) <span class="dropcap">[e]</span>:</label>
            <input id="email" name="email" type="text" maxlength="40" accesskey="e"/>
            <label for="conf_email">Confirm Email (required) <span class="dropcap">[r]</span>:</label>
            <input id="conf_email" name="conf_email" type="text" maxlength="40" accesskey="r"/>
            <label for='emailErr' id='emailErr' class='error-message'></label>
        </p>
        <p>
            <label for="pass">Password (required) <span class="dropcap">[o]</span>:</label>
            <input id="pass" name="pass" type="password" maxlength="20" accesskey="o"/>
            <label for="conf_pass">Confirm Password (required) <span class="dropcap">[p]</span>:</label>
            <input id="conf_pass" name="conf_pass" type="password" maxlength="20" accesskey="p"/>
            <label for='passErr' id='passErr' class='error-message'></label>
        </p>
        <p>
            <label for="username">Username (required) <span class="dropcap">[q]</span>:</label>
            <input id="username" name="username" type="text" maxlength="20" accesskey="q"/>
	    <label for='userErr' id='userErr' class='error-message'></label>
        </p>
        <p>
            <label for="mailingList">Subscribe to Newsletter <span class="dropcap">[w]</span>:</label>
            <input id="mailingList" name="mailingList" type="checkbox" checked="checked" value="yes" accesskey="w"/>
        </p>
    </fieldset>
    
    <fieldset>
        <legend>Personal Info</legend>
        <p>
            <label for="name">First Name <span class="dropcap">[u]</span>:</label>
            <input id="name" name="name" type="text" maxlength="20" accesskey="u"/>
            <label for="surname">Last Name <span class="dropcap">[i]</span>:</label>
            <input id="surname" name="surname" type="text" maxlength="20" accesskey="i"/>
	    <label for='nameErr' id='nameErr' class='error-message'></label>
        </p>
        
        <p>
            <label for="org">Affiliation (required) <span class="dropcap">[k]</span>:</label>
            <input id="org" name="org" type="text" maxlength="20" accesskey="k"/>
        </p>
        
        <p>
            <label for="country">Country:</label>
            <select id="country" name="country">
				<option value="">Not specified</option>
				<option value="Afganistan">Afghanistan</option>
				<option value="Albania">Albania</option>
				<option value="Algeria">Algeria</option>
				<option value="American Samoa">American Samoa</option>
				<option value="Andorra">Andorra</option>
				<option value="Angola">Angola</option>
				<option value="Anguilla">Anguilla</option>
				<option value="Antigua and Barbuda">Antigua and Barbuda</option>
				<option value="Argentina">Argentina</option>
				<option value="Armenia">Armenia</option>
				<option value="Aruba">Aruba</option>
				<option value="Australia">Australia</option>
				<option value="Austria">Austria</option>
				<option value="Azerbaijan">Azerbaijan</option>
				<option value="Bahamas">Bahamas</option>
				<option value="Bahrain">Bahrain</option>
				<option value="Bangladesh">Bangladesh</option>
				<option value="Barbados">Barbados</option>
				<option value="Belarus">Belarus</option>
				<option value="Belgium">Belgium</option>
				<option value="Belize">Belize</option>
				<option value="Benin">Benin</option>
				<option value="Bermuda">Bermuda</option>
				<option value="Bhutan">Bhutan</option>
				<option value="Bolivia">Bolivia</option>
				<option value="Bonaire">Bonaire</option>
				<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
				<option value="Botswana">Botswana</option>
				<option value="Brazil">Brazil</option>
				<option value="British Indian Ocean Ter">British Indian Ocean Ter</option>
				<option value="Brunei">Brunei</option>
				<option value="Bulgaria">Bulgaria</option>
				<option value="Burkina Faso">Burkina Faso</option>
				<option value="Burundi">Burundi</option>
				<option value="Cambodia">Cambodia</option>
				<option value="Cameroon">Cameroon</option>
				<option value="Canada">Canada</option>
				<option value="Canary Islands">Canary Islands</option>
				<option value="Cape Verde">Cape Verde</option>
				<option value="Cayman Islands">Cayman Islands</option>
				<option value="Central African Republic">Central African Republic</option>
				<option value="Chad">Chad</option>
				<option value="Channel Islands">Channel Islands</option>
				<option value="Chile">Chile</option>
				<option value="China">China</option>
				<option value="Christmas Island">Christmas Island</option>
				<option value="Cocos Island">Cocos Island</option>
				<option value="Colombia">Colombia</option>
				<option value="Comoros">Comoros</option>
				<option value="Congo">Congo</option>
				<option value="Cook Islands">Cook Islands</option>
				<option value="Costa Rica">Costa Rica</option>
				<option value="Cote DIvoire">Cote D'Ivoire</option>
				<option value="Croatia">Croatia</option>
				<option value="Cuba">Cuba</option>
				<option value="Curaco">Curacao</option>
				<option value="Cyprus">Cyprus</option>
				<option value="Czech Republic">Czech Republic</option>
				<option value="Denmark">Denmark</option>
				<option value="Djibouti">Djibouti</option>
				<option value="Dominica">Dominica</option>
				<option value="Dominican Republic">Dominican Republic</option>
				<option value="East Timor">East Timor</option>
				<option value="Ecuador">Ecuador</option>
				<option value="Egypt">Egypt</option>
				<option value="El Salvador">El Salvador</option>
				<option value="Equatorial Guinea">Equatorial Guinea</option>
				<option value="Eritrea">Eritrea</option>
				<option value="Estonia">Estonia</option>
				<option value="Ethiopia">Ethiopia</option>
				<option value="Falkland Islands">Falkland Islands</option>
				<option value="Faroe Islands">Faroe Islands</option>
				<option value="Fiji">Fiji</option>
				<option value="Finland">Finland</option>
				<option value="France">France</option>
				<option value="French Guiana">French Guiana</option>
				<option value="French Polynesia">French Polynesia</option>
				<option value="French Southern Ter">French Southern Ter</option>
				<option value="Gabon">Gabon</option>
				<option value="Gambia">Gambia</option>
				<option value="Georgia">Georgia</option>
				<option value="Germany">Germany</option>
				<option value="Ghana">Ghana</option>
				<option value="Gibraltar">Gibraltar</option>
				<option value="Great Britain">Great Britain</option>
				<option value="Greece">Greece</option>
				<option value="Greenland">Greenland</option>
				<option value="Grenada">Grenada</option>
				<option value="Guadeloupe">Guadeloupe</option>
				<option value="Guam">Guam</option>
				<option value="Guatemala">Guatemala</option>
				<option value="Guinea">Guinea</option>
				<option value="Guyana">Guyana</option>
				<option value="Haiti">Haiti</option>
				<option value="Hawaii">Hawaii</option>
				<option value="Honduras">Honduras</option>
				<option value="Hong Kong">Hong Kong</option>
				<option value="Hungary">Hungary</option>
				<option value="Iceland">Iceland</option>
				<option value="India">India</option>
				<option value="Indonesia">Indonesia</option>
				<option value="Iran">Iran</option>
				<option value="Iraq">Iraq</option>
				<option value="Ireland">Ireland</option>
				<option value="Isle of Man">Isle of Man</option>
				<option value="Israel">Israel</option>
				<option value="Italy">Italy</option>
				<option value="Jamaica">Jamaica</option>
				<option value="Japan">Japan</option>
				<option value="Jordan">Jordan</option>
				<option value="Kazakhstan">Kazakhstan</option>
				<option value="Kenya">Kenya</option>
				<option value="Kiribati">Kiribati</option>
				<option value="Korea North">Korea North</option>
				<option value="Korea Sout">Korea South</option>
				<option value="Kuwait">Kuwait</option>
				<option value="Kyrgyzstan">Kyrgyzstan</option>
				<option value="Laos">Laos</option>
				<option value="Latvia">Latvia</option>
				<option value="Lebanon">Lebanon</option>
				<option value="Lesotho">Lesotho</option>
				<option value="Liberia">Liberia</option>
				<option value="Libya">Libya</option>
				<option value="Liechtenstein">Liechtenstein</option>
				<option value="Lithuania">Lithuania</option>
				<option value="Luxembourg">Luxembourg</option>
				<option value="Macau">Macau</option>
				<option value="Macedonia">Macedonia</option>
				<option value="Madagascar">Madagascar</option>
				<option value="Malaysia">Malaysia</option>
				<option value="Malawi">Malawi</option>
				<option value="Maldives">Maldives</option>
				<option value="Mali">Mali</option>
				<option value="Malta">Malta</option>
				<option value="Marshall Islands">Marshall Islands</option>
				<option value="Martinique">Martinique</option>
				<option value="Mauritania">Mauritania</option>
				<option value="Mauritius">Mauritius</option>
				<option value="Mayotte">Mayotte</option>
				<option value="Mexico">Mexico</option>
				<option value="Midway Islands">Midway Islands</option>
				<option value="Moldova">Moldova</option>
				<option value="Monaco">Monaco</option>
				<option value="Mongolia">Mongolia</option>
				<option value="Montserrat">Montserrat</option>
				<option value="Morocco">Morocco</option>
				<option value="Mozambique">Mozambique</option>
				<option value="Myanmar">Myanmar</option>
				<option value="Nambia">Nambia</option>
				<option value="Nauru">Nauru</option>
				<option value="Nepal">Nepal</option>
				<option value="Netherland Antilles">Netherland Antilles</option>
				<option value="Netherlands">Netherlands (Holland, Europe)</option>
				<option value="Nevis">Nevis</option>
				<option value="New Caledonia">New Caledonia</option>
				<option value="New Zealand">New Zealand</option>
				<option value="Nicaragua">Nicaragua</option>
				<option value="Niger">Niger</option>
				<option value="Nigeria">Nigeria</option>
				<option value="Niue">Niue</option>
				<option value="Norfolk Island">Norfolk Island</option>
				<option value="Norway">Norway</option>
				<option value="Oman">Oman</option>
				<option value="Pakistan">Pakistan</option>
				<option value="Palau Island">Palau Island</option>
				<option value="Palestine">Palestine</option>
				<option value="Panama">Panama</option>
				<option value="Papua New Guinea">Papua New Guinea</option>
				<option value="Paraguay">Paraguay</option>
				<option value="Peru">Peru</option>
				<option value="Phillipines">Philippines</option>
				<option value="Pitcairn Island">Pitcairn Island</option>
				<option value="Poland">Poland</option>
				<option value="Portugal">Portugal</option>
				<option value="Puerto Rico">Puerto Rico</option>
				<option value="Qatar">Qatar</option>
				<option value="Republic of Montenegro">Republic of Montenegro</option>
				<option value="Republic of Serbia">Republic of Serbia</option>
				<option value="Reunion">Reunion</option>
				<option value="Romania">Romania</option>
				<option value="Russia">Russia</option>
				<option value="Rwanda">Rwanda</option>
				<option value="St Barthelemy">St Barthelemy</option>
				<option value="St Eustatius">St Eustatius</option>
				<option value="St Helena">St Helena</option>
				<option value="St Kitts-Nevis">St Kitts-Nevis</option>
				<option value="St Lucia">St Lucia</option>
				<option value="St Maarten">St Maarten</option>
				<option value="St Pierre and Miquelon">St Pierre and Miquelon</option>
				<option value="St Vincent and Grenadines">St Vincent and Grenadines</option>
				<option value="Saipan">Saipan</option>
				<option value="Samoa">Samoa</option>
				<option value="Samoa American">Samoa American</option>
				<option value="San Marino">San Marino</option>
				<option value="Sao Tome and Principe">Sao Tome and Principe</option>
				<option value="Saudi Arabia">Saudi Arabia</option>
				<option value="Senegal">Senegal</option>
				<option value="Seychelles">Seychelles</option>
				<option value="Sierra Leone">Sierra Leone</option>
				<option value="Singapore">Singapore</option>
				<option value="Slovakia">Slovakia</option>
				<option value="Slovenia">Slovenia</option>
				<option value="Solomon Islands">Solomon Islands</option>
				<option value="Somalia">Somalia</option>
				<option value="South Africa">South Africa</option>
				<option value="Spain">Spain</option>
				<option value="Sri Lanka">Sri Lanka</option>
				<option value="Sudan">Sudan</option>
				<option value="Suriname">Suriname</option>
				<option value="Swaziland">Swaziland</option>
				<option value="Sweden">Sweden</option>
				<option value="Switzerland">Switzerland</option>
				<option value="Syria">Syria</option>
				<option value="Tahiti">Tahiti</option>
				<option value="Taiwan">Taiwan</option>
				<option value="Tajikistan">Tajikistan</option>
				<option value="Tanzania">Tanzania</option>
				<option value="Thailand">Thailand</option>
				<option value="Togo">Togo</option>
				<option value="Tokelau">Tokelau</option>
				<option value="Tonga">Tonga</option>
				<option value="Trinidad and Tobago">Trinidad and Tobago</option>
				<option value="Tunisia">Tunisia</option>
				<option value="Turkey">Turkey</option>
				<option value="Turkmenistan">Turkmenistan</option>
				<option value="Turks and Caicos Is">Turks and Caicos Is</option>
				<option value="Tuvalu">Tuvalu</option>
				<option value="Uganda">Uganda</option>
				<option value="Ukraine">Ukraine</option>
				<option value="United Arab Erimates">United Arab Emirates</option>
				<option value="United Kingdom">United Kingdom</option>
				<option value="United States of America">United States of America</option>
				<option value="Uraguay">Uruguay</option>
				<option value="Uzbekistan">Uzbekistan</option>
				<option value="Vanuatu">Vanuatu</option>
				<option value="Vatican City State">Vatican City State</option>
				<option value="Venezuela">Venezuela</option>
				<option value="Vietnam">Vietnam</option>
				<option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option>
				<option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
				<option value="Wake Island">Wake Island</option>
				<option value="Wallis and Futana Is">Wallis and Futana Is</option>
				<option value="Yemen">Yemen</option>
				<option value="Zaire">Zaire</option>
				<option value="Zambia">Zambia</option>
				<option value="Zimbabwe">Zimbabwe</option>
			</select>
        </p>
    </fieldset>
    <fieldset>
		<legend>Captcha</legend>
		_CAPTCHA_
    </fieldset>
    <fieldset>
        <legend class="hidden-legend">Buttons</legend>
        <input id="reset" name="reset" type="reset" value="Reset [t]" accesskey="t"/>
        <input id="register" name="register" type="submit" value="Register [g]" accesskey="g"/>
    </fieldset>
</form>
